HCA 285 Exam #1 UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
What is the current state of the healthcare industry? - CORRECT ANSWER We grade
it by four different criteria, health, quality, cost, and access
What is the health of the U.S. like? - CORRECT ANSWER we have shorter life
expectancies, higher rates of disease burden, and higher mortality rates than other high
income countries. There is disparity of life expectancy across racial, ethnic groups, health
statues, income levels, genders and age, but that may not be the healthcare system's fault. We
are getting better, but still falling behind other countries.
What is the quality of the healthcare system like? - CORRECT ANSWER We have the
highest rate of deaths preventable by healthcare and higher rates of errors made by medical
professionals. While we have gotten better we still have higher preventable hospital
admissions than other countries.
What is the cost of healthcare system like? - CORRECT ANSWER We have a higher
cost of healthcare than other countries, but don't get the same quality or amount. Other
countries spend approximately 11 cents per dollar on healthcare, while we spend
approximately 17 cents on healthcare per dollar. We have fewer doctor visits and hospital
stays because we spend more money on other things like certain procedures and drugs. We
are getting better though.
What is access to the healthcare industry like? - CORRECT ANSWER People delay
going to the doctor when needed because of the high cost. 91% of the U.S. population si now
insured while other countries have universal healthcare.
What are the four parts of the healthcare industry diagram? - CORRECT ANSWER 1)
government oversees all aspects of healthcare
2) patients (controlled by payers) (when answering questions about this make sure to list the
patients because it is patients categorized by the payers.)
3) health-care providers
4) peripheral entities
,2nd part of the healthcare industry diagram: patients (controlled by payers) - CORRECT
ANSWER This is in order of how good their payment method is from best to worst:
Employer insured
individual market insured
CMS medicare
CMS/State medicaid
uninsured (when answering questions about this make sure to list the patients because it is
patients categorized by the payers.)
1st part of the healthcare industry diagram: Government oversees all aspects of healthcare. -
CORRECT ANSWER There is the US department of health and human services, and
there are the individual state departments of health. The secretary of Health and Human
Services reports to the president. They oversee all of healthcare.
3rd part of the healthcare industry diagram: Healthcare providers - CORRECT
ANSWER There is Acute care, post acute care, outpatient care, long-term care, and
home health
4th part of the healthcare industry diagram: Peripheral entities - CORRECT
ANSWER Insurance industry, 3rd party organizations and suppliers and manufacturers.
What does public health administration on the state level? - CORRECT
ANSWER They promote and protect the health and safety of all Idahoans. They take
care of
Medicaid
Food Stamps
Child Protection
Disease Protection. The specific department is the Idaho department of Health and Welfare.
Public Health - CORRECT ANSWER It is focused on the provision of healthcare
services by the 'government'-federal, state, county and municipal. The U.S. The Department
,of Health and Human Services is a part of it. Within that is the division known as the Center
for Medicare and Medicaid Services. They are in charge of administering the medicare
program nationally and helping to coordinate with individual states about their respective
Medicaid programs.The pinnacle of this type of health is the secretary of health and human-
services. They have access to the president. They are appointed by the president. Centers for
medicare and medicaid services, office of inspector general, food and drug administration,
and centers for disease control. Both types of health deal with these parts of the department a
lot of the time.
Private Health - CORRECT ANSWER This is my major. There are six types of
healthcare provider organizations in this sector:
Acute-care hospitals (MAKE SURE TO LIST IT AS HOSPITALS ON TEST)
Ambulatory surgery centers
Physician clinics or medical group practices and Urgent Care clinics.
Inpatient and/or outpatient rehabilitation Facilities
Long-term Care facilities
Hospice and Palliative Care Organization.
There are two different segments of the Private sector of healthcare, what are they and what
do they deal with? - CORRECT ANSWER Acute Care Segment and Long-term Care
Segment: The Acute Care segment is hospitals, ASCs, Clinics, and Medical groups. Their
purpose is to diagnose, treat and CURE. The Long-term Care segment is patients' homes,
assisted living facilities, nursing homes, skilled nursing facilities. Their purpose is to help
with basic and instrumental ADLs.
What are the main governmental organizations that comprise the Public Healthcare sector? -
CORRECT ANSWER A part of this is The Department of Health and Human Services
is a part of it. Within that is the division known as the Center of Medicare and Medicaid
Services. They are in charge of administering the medicare program nationally and helping to
coordinate with individual states and their respective Medicaid programs.
What does it mean to be part of a multi-hospital system? - CORRECT ANSWER Two
or more hospitals owned, leased, sponsored, or contract managed by a central organization.
, Explain the multi-hospital system diagram. - CORRECT ANSWER Primary care clinic
refer patients to secondary care hospitals, secondary care hospitals refer to tertiary care
hospitals. This all happens if they can not perform the services needed at their facilities.
What is a integrated healthcare network? - CORRECT ANSWER a group of hospitals,
physicians, other providers, insurers, and/or community agencies that work together to
coordinate and deliver services.
what does acuity mean? - CORRECT ANSWER seriousness of illness or injury
acute care - CORRECT ANSWER treating people who wish to return to as much as
possible a normal daily function. Organizations: hospitals, ambulatory surgery centers, urgent
care clinics and/or retail health clinics. Medicare pays for one hundred days of this type of
care and post this type of care rehabilitation for each incident if required.
Long-term care - CORRECT ANSWER caring for people who need assistance with
activities of daily living and help to manage or treat chronic conditions. Organizations: the
patient's home, assisted living centers, nursing homes, and skilled nursing facilities. Medicare
does not reimburse for this type of care.
What are the levels of care in Acute Care? - CORRECT ANSWER Primary Care
Secondary Care
Tertiary Care
Quaternary Care
Primary Care - CORRECT ANSWER the lowest level. This is physician offices and is
the gateway into the healthcare system, it may include urgent cares, emergency rooms,
obstetrician, pediatrician, etc.
Secondary care - CORRECT ANSWER all surgery and people who are admitted
overnight to a hospital.
QUESTIONS AND CORRECT ANSWERS
What is the current state of the healthcare industry? - CORRECT ANSWER We grade
it by four different criteria, health, quality, cost, and access
What is the health of the U.S. like? - CORRECT ANSWER we have shorter life
expectancies, higher rates of disease burden, and higher mortality rates than other high
income countries. There is disparity of life expectancy across racial, ethnic groups, health
statues, income levels, genders and age, but that may not be the healthcare system's fault. We
are getting better, but still falling behind other countries.
What is the quality of the healthcare system like? - CORRECT ANSWER We have the
highest rate of deaths preventable by healthcare and higher rates of errors made by medical
professionals. While we have gotten better we still have higher preventable hospital
admissions than other countries.
What is the cost of healthcare system like? - CORRECT ANSWER We have a higher
cost of healthcare than other countries, but don't get the same quality or amount. Other
countries spend approximately 11 cents per dollar on healthcare, while we spend
approximately 17 cents on healthcare per dollar. We have fewer doctor visits and hospital
stays because we spend more money on other things like certain procedures and drugs. We
are getting better though.
What is access to the healthcare industry like? - CORRECT ANSWER People delay
going to the doctor when needed because of the high cost. 91% of the U.S. population si now
insured while other countries have universal healthcare.
What are the four parts of the healthcare industry diagram? - CORRECT ANSWER 1)
government oversees all aspects of healthcare
2) patients (controlled by payers) (when answering questions about this make sure to list the
patients because it is patients categorized by the payers.)
3) health-care providers
4) peripheral entities
,2nd part of the healthcare industry diagram: patients (controlled by payers) - CORRECT
ANSWER This is in order of how good their payment method is from best to worst:
Employer insured
individual market insured
CMS medicare
CMS/State medicaid
uninsured (when answering questions about this make sure to list the patients because it is
patients categorized by the payers.)
1st part of the healthcare industry diagram: Government oversees all aspects of healthcare. -
CORRECT ANSWER There is the US department of health and human services, and
there are the individual state departments of health. The secretary of Health and Human
Services reports to the president. They oversee all of healthcare.
3rd part of the healthcare industry diagram: Healthcare providers - CORRECT
ANSWER There is Acute care, post acute care, outpatient care, long-term care, and
home health
4th part of the healthcare industry diagram: Peripheral entities - CORRECT
ANSWER Insurance industry, 3rd party organizations and suppliers and manufacturers.
What does public health administration on the state level? - CORRECT
ANSWER They promote and protect the health and safety of all Idahoans. They take
care of
Medicaid
Food Stamps
Child Protection
Disease Protection. The specific department is the Idaho department of Health and Welfare.
Public Health - CORRECT ANSWER It is focused on the provision of healthcare
services by the 'government'-federal, state, county and municipal. The U.S. The Department
,of Health and Human Services is a part of it. Within that is the division known as the Center
for Medicare and Medicaid Services. They are in charge of administering the medicare
program nationally and helping to coordinate with individual states about their respective
Medicaid programs.The pinnacle of this type of health is the secretary of health and human-
services. They have access to the president. They are appointed by the president. Centers for
medicare and medicaid services, office of inspector general, food and drug administration,
and centers for disease control. Both types of health deal with these parts of the department a
lot of the time.
Private Health - CORRECT ANSWER This is my major. There are six types of
healthcare provider organizations in this sector:
Acute-care hospitals (MAKE SURE TO LIST IT AS HOSPITALS ON TEST)
Ambulatory surgery centers
Physician clinics or medical group practices and Urgent Care clinics.
Inpatient and/or outpatient rehabilitation Facilities
Long-term Care facilities
Hospice and Palliative Care Organization.
There are two different segments of the Private sector of healthcare, what are they and what
do they deal with? - CORRECT ANSWER Acute Care Segment and Long-term Care
Segment: The Acute Care segment is hospitals, ASCs, Clinics, and Medical groups. Their
purpose is to diagnose, treat and CURE. The Long-term Care segment is patients' homes,
assisted living facilities, nursing homes, skilled nursing facilities. Their purpose is to help
with basic and instrumental ADLs.
What are the main governmental organizations that comprise the Public Healthcare sector? -
CORRECT ANSWER A part of this is The Department of Health and Human Services
is a part of it. Within that is the division known as the Center of Medicare and Medicaid
Services. They are in charge of administering the medicare program nationally and helping to
coordinate with individual states and their respective Medicaid programs.
What does it mean to be part of a multi-hospital system? - CORRECT ANSWER Two
or more hospitals owned, leased, sponsored, or contract managed by a central organization.
, Explain the multi-hospital system diagram. - CORRECT ANSWER Primary care clinic
refer patients to secondary care hospitals, secondary care hospitals refer to tertiary care
hospitals. This all happens if they can not perform the services needed at their facilities.
What is a integrated healthcare network? - CORRECT ANSWER a group of hospitals,
physicians, other providers, insurers, and/or community agencies that work together to
coordinate and deliver services.
what does acuity mean? - CORRECT ANSWER seriousness of illness or injury
acute care - CORRECT ANSWER treating people who wish to return to as much as
possible a normal daily function. Organizations: hospitals, ambulatory surgery centers, urgent
care clinics and/or retail health clinics. Medicare pays for one hundred days of this type of
care and post this type of care rehabilitation for each incident if required.
Long-term care - CORRECT ANSWER caring for people who need assistance with
activities of daily living and help to manage or treat chronic conditions. Organizations: the
patient's home, assisted living centers, nursing homes, and skilled nursing facilities. Medicare
does not reimburse for this type of care.
What are the levels of care in Acute Care? - CORRECT ANSWER Primary Care
Secondary Care
Tertiary Care
Quaternary Care
Primary Care - CORRECT ANSWER the lowest level. This is physician offices and is
the gateway into the healthcare system, it may include urgent cares, emergency rooms,
obstetrician, pediatrician, etc.
Secondary care - CORRECT ANSWER all surgery and people who are admitted
overnight to a hospital.
